Individual provider Active NPI

Terry Michael Pleskonko, DC

  • Chiropractor
  • Staunton, VA
National Provider Identifier
1639104821
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104000537 Issued in VA
Practice address
2303 N Augusta St
Ste B
Staunton, VA 24401
Phone
(540) 886-0745
Fax
(540) 887-8383
NPI assigned
Jul 12, 2006
Last updated
Sep 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104000537 VA Primary

Addresses

Primary practice location

2303 N Augusta St
Ste B
Staunton, VA 24401

Mailing address

2303 N Augusta St Ste B
Staunton, VA 24401-2597
Phone (540) 886-0745

Other identifiers 2

IdentifierTypeStateIssuer
A546090770001OtherCIGNA
029026OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000200 VA Practitioner - Chiropractic 1759352388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104000537VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Staunton Chiropractic Center Chiropractor CurrentSince Aug 5, 2004 Accepting new patients

Locations

2013 N Augusta St
#B
Staunton, VA 24401
Phone (540) 886-0745

2303 N Augusta St
Ste B
Staunton, VA 24401
Phone (540) 779-7524

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1639104821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 N AUGUSTA ST STE B",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012597",
            "telephone_number": "540-886-0745",
            "fax_number": "540-887-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 N AUGUSTA ST",
            "address_2": "STE B",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401",
            "telephone_number": "540-886-0745",
            "fax_number": "540-887-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLESKONKO",
        "first_name": "TERRY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "A546090770001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "029026",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.